Heterosexual anal intercourse among community and clinical settings in Cape Town, South Africa.
Heterosexual anal intercourse among community and clinical settings in Cape Town, South Africa.
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南非开普敦社区和临床环境中的异性肛交。
DOI：
10.1136/sti.2008.035287
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发表时间：
2009-10
影响因子：
3.6
通讯作者：
Jooste S
中科院分区：
文献类型：
--
作者：
Kalichman SC;Simbayi LC;Cain D;Jooste S
肛交是一种有效的艾滋病毒传播方式，可能在南部非洲异性恋艾滋病毒流行中发挥作用。然而，关于南非异性恋者肛交行为的信息很少。目的：探讨从社区和诊所抽取的样本中肛交的发生率。匿名调查从开普敦两个乡镇和一个大城市性传播感染诊所的2593名男性和1818名女性的方便样本中收集。测量包括人口统计、艾滋病毒风险史、药物使用和三个月回顾性性行为。总共有14%（360名）的男性和10%（172名）的女性报告在过去三个月内进行过肛交。67%的男性和50%的女性在肛交时使用避孕套。肛交与年龄较小、未婚、有性传播感染史、交换性行为、使用药物、接受过艾滋病毒检测以及艾滋病毒检测呈阳性有关。据报道，异性恋者肛交的频率相对低于无保护的阴道性交。异性恋中肛交的低流行率可能被其传播艾滋病毒的更高效率所抵消。肛交应该在异性恋艾滋病预防规划中讨论。
Anal intercourse is an efficient mode of HIV transmission and may play a role in heterosexual HIV epidemics of southern Africa. However, little information is available on the anal sex practices of heterosexuals in South Africa. To examine the occurrence of anal intercourse in samples drawn from community and clinic settings. Anonymous surveys collected from convenience samples of 2593 men and 1818 women in two townships and one large city STI clinic in Cape Town. Measures included demographics, HIV risk history, substance use, and three month retrospective sexual behavior. A total of 14% (n = 360) men and 10% (n = 172) women reported engaging in anal intercourse in the past three months. Men used condoms during 67% and women 50% of anal intercourse occasions. Anal intercourse was associated with younger age, being unmarried, having a history of STIs, exchanging sex, using substances, having been tested for HIV, and testing HIV positive. Anal intercourse is reported relatively less frequently than unprotected vaginal intercourse among heterosexuals. The low prevalence of anal intercourse among heterosexuals may be offset by its greater efficiency for transmitting HIV. Anal sex should be discussed in heterosexual HIV prevention programming.
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影响因子：
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作者：
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通讯作者：
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影响因子：
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作者：
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